Echocardiography to Individualize Treatment for Hypertrophic Cardiomyopathy

Sherrid, Mark V.; Arabadjian, Milla

doi:10.1016/j.pcad.2012.04.007

Cited by 12 publications

(18 citation statements)

References 69 publications

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“…Ряд авторов отмечают, что резидуальная обструкция в ВТЛЖ ассоциирована с негативным прогнозом у дан-ной когорты пациентов [18,30,31,35,50].…”

Section: как много пациентов после этаноловой септальной аблации имеюunclassified

“…drag force) в пато-физиологии обструкции ВТЛЖ при гипертрофической кардиомиопатии [50]. Эта концепция пришла на смену «эффекту Вентури», который обосновывал выполнение изолированной септальной редукционной терапии [51].…”

Section: Reviewsunclassified

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Three Achilles’ heels of alcohol septal ablation

Kashtanov¹,

Chernyshev²,

Kardapoltsev³

et al. 2017

PKiK

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This manuscript looks at basic limitations of alcohol septal ablation in obstructive hypertrophic cardiomyopathy. They include high-grade atrioventricular blockages, residual obstructions of the left ventricular outflow tract and the so-called proarrhythmic effects of alcohol septal ablation procedure. All these weaknesses are reviewed in the context of incidence, etiology, and prevention.Received 25 February 2017. Accepted 10 April 2017.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflict of interest.Author contributions Conception and study design: M.G. Kashtanov. Data collection and analysis: M.G. Kashtanov. Drafting the article: M.G. Kashtanov, E.M. Idov. Final approval of the version to be published: M.G. Kashtanov, S.D. Chernyshev, L.V. Kardapoltsev, S.V. Berdnikov, E.M. Idov.Full text of the article is in the online version of this paper at <a href="http://dx.doi.org/10.21688/1681-3472-2017-3-12-22">http://dx.doi.org/10.21688/1681-3472-2017-3-12-22</a>

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Section: как много пациентов после этаноловой септальной аблации имеюunclassified

Section: Reviewsunclassified

Three Achilles’ heels of alcohol septal ablation

Kashtanov¹,

Chernyshev²,

Kardapoltsev³

et al. 2017

PKiK

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“…The point of LVOTO [33] is determined by the point where the anterior mitral leaflet (AML) contacts the hypertrophied septum [ Figure 2]. This can be determined by 2D color mapping, continuous wave Doppler (CWD) and sequential interrogation of the gradient by pulse wave Doppler (PWD).…”

Section: Left Ventricular Outfl Ow Tract Obstruction Assessmentmentioning

confidence: 99%

“…Moreover, resection in this area can lead to ventricular septal defect and conduction blocks. [33] Color fl ow Doppler assessment The interventricular septum, SAM and mitral regurgitation (MR) jet in mid-systole are examined in MELAX view. The color flow mapping in this view should include the LV cavity to the outflow tract so that the region of aliasing can be noted.…”

Section: Left Ventricular Outfl Ow Tract Obstruction Assessmentmentioning

confidence: 99%

“…In HCM, the obstruction is variable and characterized by a progressive decrease in orifice size and increasing velocity and acceleration across the progressively narrowing orifice; however, blood continues to be ejected even after attaining the peak Doppler velocity. [33,35] The flow pattern leads to a peak after mid-systole and the characteristic leftward concavity of the ascending limb in HCM. [33,35] The Doppler trace of obstructive HCM has a "dagger" shaped configuration.…”

Section: Doppler Assessmentmentioning

confidence: 99%

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Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations

Varma¹,

Raman²,

Neema³

2014

Ann Card Anaesth

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Hypertrophic cardiomyopathy (HCM) poses many unique challenges regarding the conduct of anesthesia and surgery. Adequate preload, control of sympathetic stimulation, heart rate, and increased afterload are required to decrease the left ventricular outflow tract obstruction. Comprehensive intraoperative transesophageal echocardiography (TEE) examination confirms the diagnosis, elucidates the pathophysiology, and identifies the various anomalies of mitral valve apparatus and allows assessment of the adequacy of surgery. In this review, we focus on the preoperative assessment, conduct of anesthesia and comprehensive TEE examination of patients presenting for surgery with HCM. The various surgical options are extended myectomy and resection, plication and release.

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Sub-aortic Stenosis

Brink

2013

Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

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Echocardiography to Individualize Treatment for Hypertrophic Cardiomyopathy

Cited by 12 publications

References 69 publications

Three Achilles’ heels of alcohol septal ablation

Three Achilles’ heels of alcohol septal ablation

Hypertrophic cardiomyopathy part II - Anesthetic and surgical considerations

Sub-aortic Stenosis

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